Sunday School Registration & Emergency Information

Parents/Guardians Name

Preferred Phone

Does this number receive text messages?

Yes No

Address

This address will receive a confirmation email

Names of People Authorized for Pickup after Sunday School

I would like to be added to the following email/texting distribution lists:

Parent Resource Ministry Children's Activities (opportunities for children (Toddler - 5th Grade) Youth Ministry Activities (opportunities for youth (Grades 6-12) Children AND Youth Ministries Church Newsletter Children's Ministry AND Church Newsletter Youth Ministry AND Church Newsletter All of the Above None of the above

I would be interested in finding out about opportunities to assist the children and/or youth ministries

Yes No

1st Child's Name

Male or Female

Male Female

Birthdate

Grade

Allergies

Yes No

If yes, describe allergies

2nd Child's Name

Male or Female Male Female

Birthdate

Grade

Allergies Yes No

If yes, describe allergies

3rd Child's Name

Male or Female Male Female

Birthdate

Grade

Allergies Yes No

If yes, describe allergies

4th Child's Name

Male or Female Male Female

Birthdate

Grade

Allergies Yes No

If yes, describe allergies

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Name of Family Doctor

Family Doctors Phone

Alternative Emergency Contact Person

Alternative Emergency Contact Phone

Comments

Medical Emergency Treatment

I herby give Huntingtown United Methodist Church permission to administer basic first aid and/or CPR to my child and/or take my child to a hospital for medical treatment when I cannot be reached or when delay would be dangerous to my child's health.

Yes

Medical Insurance Information

Company Name

Claim Phone #

Policy #

Group #

Photograph & Social Media Policy

Photographs of children and/or youth participating in ministry activities sponsored by Huntingtown United Methodist Church may be published in the public domain (e.g., local newspapers, church web site and church social media sites). When a parent gives consent for their child/children or youth to participate in such an activity or completes the appropriate registration, permission to publish photos in such a domain is also implicitly given. There is no “opt-out” provision for parents in this matter.

Sunday School Registration & Emergency Information

Description

Please Fix the Following